CSA Prep Cards Flashcards
What does SIG E CAPS stand for?
Sleep Interest Guilt Energy Concentration Appetite Psychomotor SI
5 special tests for hand
- Wrist ROM
- Tinels test
- Phalens sign
- Finkelsteins test
- OK sign
What should you try to remember about any meds the patient is taking?
STOP THEM IF APPROPRIATE
3 differentials for knee pain
Arthritis (OA>RA)
Meniscus pathology
Ligament strain
Patellae bursitis
Special tests for foot pain
ROM
Anterior drawer
Talar tilt
Thompson test (prone)
Differentials: foot pain
- Plantar fasciitis
- Navicular stress fracture
- Morton neuroma
Hand position for muscle energy to the foot
Grasp low ankle with one hand and foot with other
4 special tests for DVT
- Homan sign - pain with dorsiflexion
- Moses sign - pain with squeezing calf
- Pretibial and pedal edema
- Dorsalis pedis and posterior tibial (behind medial malleolus)
Which medication would be an appropriate alternative to warfarin in a patient with a DVT
Rivaroxiban
Which lab do you need to order in a patient with a DVT?
PT PTT INR baseline
Screening tests to be aware of
- Chest CT if 55-80 with 30py smoking history within last 15
- PSA, Colonoscopy, Pap
- Shingles vaccine >50
Baseline labs for metabolic syndrome (4)
A1c
Lipid panel
Thyroid panel
CMP
4 tests for chest pain
- Carotid auscultation
- Peripheral pulses upper and lower
- Cap refill
- Pretibial pedal edema
Documentation for HEENT
TM’s clear no exudate
No nasal discharge no obstruction septum midline
Pharynx non injected no exudate
4 tests for low back pain
1 ROM (standing) 2 Trendelenburg 3 DTR’s 4 Straight leg raise
Special test (1) for appendicitis
Rovsing (LLQ)
Appendicitis differentials in a woman
TO abscess, ectopic
Labs for appendicitis
CBC
bhCG
Labs for RUQ pain
CBC
CMP
Lipase, amylase
Differentials for neck pain
Muscle strain/sprain
Radiculopathy
Spondylosis
Question to ask with any esophageal issue
Do you have trouble swallowing liquids vs solids?
SOAP Subjective
CC HPI ROS PMH PSH Meds (inc vax) Alls SH FH
Component of Objective
Vitals Labs Heart Lungs OSE Special tests
Don’t forget to put this in the plan!
OMT PERFORMED TOLERATED WELL
A1c for prediabetes vs diabetes
Prediabetes - 5.7-6.4
Diabetes >6.5
High LDL and TG
LDL > 160
TG > 150
Low HDL
< 40